<!DOCTYPE html>
<html>
<head>

    <link rel="stylesheet" href="/Statics/Home/css/amazeui.min.css">

    <link rel="stylesheet" href="/Statics/Home/css/button.css">

    <link rel="stylesheet" href="/Statics/Home/js/sco/css/scojs.css" />

    <link rel="stylesheet" href="/Statics/Home/css/reset.css">
    <link rel="stylesheet" href="/Statics/Home/css/common.css">

    <template file="Home/meta" />
    <template file="Home/css" />









</head>
<body style="background:#eaeeef">
<template file="Home/search" />


<if condition="$u['vip']">

    <template file="User/header" />

    <template file="User/Jiangjin/nav" />


    <else/>




    <img src="__IMG__/chongzhi.png" class="am-img-responsive" alt="">

</if>


<div class="am-cf am-bg-fff">

    <form method="post" class="am-form am-form-horizontal  J_ajaxForm " action="{:U('')}">


        <div class="am-form-group am-margin-top-sm ">

            <div class="am-u-sm-12">

                <if  condition="$u['xingming']">
                   {$u.xingming}
                    <else/>
                    <input type="tel" name="xingming"    placeholder="姓名"></div>

            </if>





        </div>

        <div class="am-form-group  ">

            <div class="am-u-sm-12">

                <select class="input-large "  name="bank">


                    <option value="">请选择</option>


                    <volist name=":F('Var_bank')" id="vo"   >


                                <option value="{$vo.name}">{$vo.name}</option>




                    </volist>
                </select>
            </div>




        </div>


        <div class="am-form-group ">

            <div class="am-u-sm-12">  <input type="tel" name="bank_card"    placeholder="银行卡号"></div>




        </div>


        <div class="am-form-group ">

            <div class="am-u-sm-12">  <input type="tel" name="bank_address"    placeholder="开户行"></div>




        </div>



        <div class="am-form-group ">

            <div class="am-u-sm-12">

            手机号:{$u.tel}




            </div>




        </div>
        <div class="am-form-group ">

            <div class="am-u-sm-6">     <input type="text" name="code" max="6"  class="am-input-xs  "  placeholder="验证码"  value="" ></div>


            <div class="am-u-sm-6" >
                <input  class="am-btn  am-btn-block am-btn-success"  id="btnSendCode" type="button" value="获取" onclick="sendCode_uid()" />
            </div>

        </div>





        <input type="hidden"  value="{:I('get.order')}" name="order">
        <div class="am-form-group ">
            <div class="am-u-sm-12 ">
                <button class="am-btn    am-btn-success am-btn-block "   target-form="J_ajaxForm" type="submit"> 提交</button>

            </div>
        </div>
    </form>



</div>
<div data-am-widget="navbar" class="am-navbar am-cf am-navbar-index  common-border-top"
     id="">
    <template file="Home/bottom_nav" />
</div>
<template file="Home/js" />

<script src="/Statics/Home/js/msg.js"></script>


</body>
</html>